ATI Adult Med. Surg.
Chapter 85: Postoperative Nursing Care
- Maintaining airway patency and ventilation and monitoring circulatory status are the
priorities for care.
Risk Factors for Complications:
- Immobility: Respiratory compromise, thrombophlebitis, pressure ulcer.
- Anemia: Blood loss, inadequate/decreased oxygenation, impaired healing factors.
- Hypovolemia: Tissue perfusion.
- Hypothermia: Risk of surgical wound infection, altered absorption of medication,
coagulopathy, cardiac dysrhythmia.
- Cardiovascular diseases: Fluid overload, deep-vein thrombosis, arrhythmia.
- Respiratory disease: Respiratory compromise.
m
er as
- Immune disorder: Risk for infection, delayed healing.
- Coagulation defect: Increased risk of bleeding.
co
eH w
- Malnutrition: Delayed healing.
- Obesity: Respiratory, cardiovascular, and renal changes necessitate specific attention to
o.
the postoperative recovery of older adults.
rs e
- Older adult clients are more susceptible to cold temperature (warm blankets in PACU can
ou urc
be required), delayed wound healing (possible compromised nutrition), perspire(sweat)
less so their skin can be dry and itchy which cause it to become fragile and easily abraded
(scrape/wear away).
o
aC s
Notes:
vi y re
- Warfarin (blood thinner): use to treat or prevent blood clots. Side effects severe bleeding
or hemorrhaging.
- Skin tenting, decrease or absent skin turgor: DEHYDRATION
- Adequacy of fluid resuscitation can be determined by monitoring the client’s hourly
ed d
urine output, an indicator of renal perfusion. The goal for urine output in adults is 0.5
ar stu
to 1.0 mL/kg/hr. When a client’s weight is not available, 30 mL/hour is considered to be
an adequate amount of urine output.
- Urine output less than 25 mL/hour is a manifestation of hypovolemia and requires
intervention by IV fluid therapy.
is
- Hypovolemia, also known as volume depletion or volume contraction, is a state
of decreased intravascular volume. This may be due to either a loss of both salt
Th
and water or a decrease in blood volume. Hypovolemia refers to the loss of
extracellular fluid and should not be confused with dehydration.
- Hypervolemia, also known as fluid overload, is the medical condition where
sh
there is too much fluid in the blood. The opposite condition is hypovolemia, which
is too little fluid volume in the blood.
- Hematocrit (Hct): Females 37-47%, Males 42-52%
- Hematocrit 48%: concentrated BV, hypovolemia.
- BUN: 10-20 mg/dL
- BUN 24 mg/dL indicates decreased kidney function, hypovolemia.
This study source was downloaded by 100000831004948 from CourseHero.com on 09-14-2021 13:09:05 GMT -05:00
https://www.coursehero.com/file/62930932/ATI-Adult-Med-Surgdocx/
Chapter 85: Postoperative Nursing Care
- Maintaining airway patency and ventilation and monitoring circulatory status are the
priorities for care.
Risk Factors for Complications:
- Immobility: Respiratory compromise, thrombophlebitis, pressure ulcer.
- Anemia: Blood loss, inadequate/decreased oxygenation, impaired healing factors.
- Hypovolemia: Tissue perfusion.
- Hypothermia: Risk of surgical wound infection, altered absorption of medication,
coagulopathy, cardiac dysrhythmia.
- Cardiovascular diseases: Fluid overload, deep-vein thrombosis, arrhythmia.
- Respiratory disease: Respiratory compromise.
m
er as
- Immune disorder: Risk for infection, delayed healing.
- Coagulation defect: Increased risk of bleeding.
co
eH w
- Malnutrition: Delayed healing.
- Obesity: Respiratory, cardiovascular, and renal changes necessitate specific attention to
o.
the postoperative recovery of older adults.
rs e
- Older adult clients are more susceptible to cold temperature (warm blankets in PACU can
ou urc
be required), delayed wound healing (possible compromised nutrition), perspire(sweat)
less so their skin can be dry and itchy which cause it to become fragile and easily abraded
(scrape/wear away).
o
aC s
Notes:
vi y re
- Warfarin (blood thinner): use to treat or prevent blood clots. Side effects severe bleeding
or hemorrhaging.
- Skin tenting, decrease or absent skin turgor: DEHYDRATION
- Adequacy of fluid resuscitation can be determined by monitoring the client’s hourly
ed d
urine output, an indicator of renal perfusion. The goal for urine output in adults is 0.5
ar stu
to 1.0 mL/kg/hr. When a client’s weight is not available, 30 mL/hour is considered to be
an adequate amount of urine output.
- Urine output less than 25 mL/hour is a manifestation of hypovolemia and requires
intervention by IV fluid therapy.
is
- Hypovolemia, also known as volume depletion or volume contraction, is a state
of decreased intravascular volume. This may be due to either a loss of both salt
Th
and water or a decrease in blood volume. Hypovolemia refers to the loss of
extracellular fluid and should not be confused with dehydration.
- Hypervolemia, also known as fluid overload, is the medical condition where
sh
there is too much fluid in the blood. The opposite condition is hypovolemia, which
is too little fluid volume in the blood.
- Hematocrit (Hct): Females 37-47%, Males 42-52%
- Hematocrit 48%: concentrated BV, hypovolemia.
- BUN: 10-20 mg/dL
- BUN 24 mg/dL indicates decreased kidney function, hypovolemia.
This study source was downloaded by 100000831004948 from CourseHero.com on 09-14-2021 13:09:05 GMT -05:00
https://www.coursehero.com/file/62930932/ATI-Adult-Med-Surgdocx/
